You have just returned from your morning break, and the nurse who has been covering your patients gives you an update on their conditions. Which patient would you assess first?
a. Mr. Akerman whose wife is angry because his discharge papers have not been completed
b. Mrs. Samuels who needs to be taught how to use her new crutches
c. Mr. Donaldson who is complaining of chills and is having surgery today
d. Mrs. Smith who is scheduled for surgery tomorrow morning and needs to have herconsent signed
C
The client who should be assessed first is Mr. Donaldson. Because the client is scheduled for surgery,
it is of utmost importance to determine the cause of his chills. The client's condition could have a
negative effect on his recovery from surgery. Addressing Mr. Akerman's discharge papers and Mrs.
Samuels' teaching would not be as critical. Since Mrs. Smith's surgery is not scheduled until
tomorrow morning, this issue can be addressed after checking on Mr. Donaldson.
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